Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema (bilateral)
ICD-10 E09.3493 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema (bilateral).
E09.3493 refers to diabetes mellitus that is induced by drugs or chemicals, characterized by severe nonproliferative diabetic retinopathy without macular edema in both eyes. This condition arises when certain medications or toxic substances lead to insulin resistance or impaired insulin secretion, resulting in elevated blood glucose levels. The severe nonproliferative diabetic retinopathy indicates significant retinal damage, which can lead to vision impairment if not managed properly. Patients may present with symptoms such as blurred vision, floaters, or difficulty seeing at night. Management of this condition often involves controlling blood glucose levels through lifestyle modifications, oral hypoglycemic agents, or insulin therapy, depending on the severity of the diabetes. Regular eye examinations are crucial to monitor the progression of retinopathy and to initiate timely interventions to prevent further complications.
Detailed medication history, HbA1c levels, and treatment plans.
Patients presenting with new-onset diabetes after starting a new medication.
Ensure clear documentation of the relationship between medication and diabetes onset.
Comprehensive eye exam findings, including retinal imaging results.
Patients with diabetes presenting for routine eye exams showing signs of retinopathy.
Document the severity of retinopathy and any interventions performed.
Used during routine eye exams for diabetic patients.
Document visual acuity, fundoscopic findings, and any treatment plans.
Ophthalmologists should ensure thorough documentation of retinopathy severity.
Common medications include corticosteroids, certain antipsychotics, and some chemotherapy agents. It is essential to review the patient's medication history to identify potential causes.
